Chapter 19: Nursing Management: Intraoperative
Care (LEWIS)
A - ANS-A patient scheduled to undergo total knee replacement surgery under general
anesthesia asks the nurse, "Will the doctor put me to sleep with a mask over my face?" Which
response by the nurse is most appropriate?
a. "A drug may be given to you through your IV line first. I will check with the anesthesia care
provider."
b. "Only your surgeon can tell you for sure what method of anesthesia will be used. Should I ask
your surgeon?"
c. "General anesthesia is now given by injecting medication into your veins, so you will not need
a mask over your face."
d. "Masks are not used anymore for anesthesia. A tube will be inserted into your throat to deliver
a gas that will put you to sleep."
A - ANS-Which action included in the perioperative patient plan of care can the charge nurse
delegate to a surgical technologist?
a. Pass sterile instruments and supplies to the surgeon.
b. Teach the patient about what to expect in the operating room (OR).
c. Continuously monitor and interpret the patient's echocardiogram (ECG) during surgery.
d. Give the postoperative report to the postanesthesia care unit (PACU) nurse.
A - ANS-Which action should the perioperative nurse take to best protect the patient from burn
injury during surgery?
a. Ensure correct placement of the grounding pad.
b. Check all emergency sprinklers in the operating room.
c. Verify that a fire extinguisher is available during surgery.
d. Confirm that all electrosurgical equipment has been properly serviced.
A - ANS-Which statement, if made by a new circulating nurse, is appropriate?
a. "I will assist in preparing the operating room for the patient."
b. "I will remain gloved while performing activities in the sterile field."
c. "I will assist with suturing of incisions and maintaining hemostasis as needed."
d. "I must don full surgical attire and sterile gloves while obtaining items from the unsterile field."
B - ANS-Monitored anesthesia care (MAC) is going to be used for a closed, manual reduction of
a dislocated shoulder. What action does the nurse anticipate?
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